Alopecia Areata Causes

Alopecia areata – an autoimmune condition causing hair loss – can occur at any age. It can start in children as early as age 3 years. The exact reason why immune system attacks the hair follicles is not known. Genetic features combined with other aspects predispose people to onset of alopecia. If the immune reaction is treated and stopped, hair follicles become normal and return to normal hair production as usual.

Medical evidence

Current medical evidence shows the culprit to be the immune system. This mistakenly treats the hair follicles as foreign objects and attacks them causing a mild inflammation. This weakens the hair follicles which fall out causing bald patches. Biopsy of bald scalp shows presence of immune lymphocytes in hair follicles. These lymphocytes mix up the growth cycle routine of the normal hair causing hair loss. People with alopecia have abnormal color, shape, texture, or thickness of the fingernails or toenails.

Causes

There is no known reason why autoimmune diseases including alopecia areata occur. Possible triggers that set up the immune system to go amuck are hypothesized to be

Infection.

Viruses.

Some medicines.

A few environmental factors – though not exactly understood.

Family history – High frequency of positive family history in affected patients.

Genetic factors – More than a single gene causes alopecia areata; it is likely that it is caused by polygenic defects. But at least 25% of alopecia areata patients have a close relative with alopecia.

Association with other autoimmune diseases.

Stress – mental stress can be a trigger for people already pre-susceptible to alopecia.

Role of immune system

There is a link between alopecia areata occurrence and other autoimmune diseases like

Thyroid disease.

Lupus.

Rheumatoid arthritis.

Allergies.

Addison’s disease

Chemicals called cytokines which form part of immune system and inhibit hair follicle growth causing alopecia areata.

Outlook

Alopecia areata’s progress is highly unpredictable. The severity also varies from patient to patient. It cannot be predicted which areas of the scalp will be affected and when they will re-grow. But there are many cases of spontaneous hair re-growth without any medication or treatment. There are several treatment options available that are topical, oral and injectible medications. When you are awaiting hair re-growth, you can use cosmetic enhancements like wigs temporarily.

About

Dr. Batul Patel is the Director of The Bombay Skin Clinic located in South Mumbai. She is a passionate and dedicated dermatologist with expertise in all fields of dermatology, trichology and aesthetic dermatology. Having completed her M.B.B.S., D.D.V. and M.D., she has been practicing for more than 10+ years. Her range of expertise include pediatric dermatology, anti-aging, lasers, skin rejuvenation, hair loss, PRP, acne & pigmentation treatments. She was a consultant with Allergan and has trained many dermatologists.Know more